135

BIRMINGHAM, UNIVERSITY OF.-Walter Myers Travelling Studentship.Value .E150.

CARDIFF, UNIVERSITY COLLEGE OF SOUTH WALES AND MONMOUTH-SHIRE.-Professor of Anatomy. Salary jB350 per annum.

CHELSEA INFIRMARY, Cale-street, S.W.-Second Assistant MedicalOfficer. Salary L70 a year, with board, apartments, &c.

COLCHESTER, EASTERN COUNTIES’ ASYLUM FOR IDIOTS, IMBECILES,AND THE FEEBLE-MINDED.-Resident Medical Attendant, un-

married. Salary £ 100 per annum, with apartments, board, andwashing.

DERBYSHIRE ROYAL INFIRMARY, Derby.-Assistant House Surgeonfor six months. Salary 230, with board, residence, and washing.

DEVONPORT, ROYAL ALBERT HOSPITAL.-Assistant House Surgeon forsix months. Salary at rate of .E50 per annum, with board, lodging,and washing.

EAST SUSSEX COUNTY ASYLUM, Hellingly.-Third Assistant MedicalOfficer, unmarried. Salary £ 160 a year, with board, lodging, wash-ing, and attendance.

GROVE HALL ASYLUM. Bow, London, E.-Assistant Medical Officer.Salary at rate of C150 a year, with board, apartments, attendance,and washing.

GUY’S HOSPITAL MEDICAL SCHOOL.-Gordon Lecturer in Experi-mental Pathology.

ISLE OF MAN GENERAL HOSPITAL AND DISPENSARY, Douglas, Isle ofMan.-Resident House Surgeon, single. Salary £82 a year, withboard and washing.

JARROW-ON-TYNE, PALMER MEMORIAL HOSPITAL (FOR ACCIDENTS).-House Surgeon, unmarried. Salary £150 per annum, with boardand residence.

KENT AND CANTERBURY HOSPITAL-Second Honorary Physician.LIVERPOOL DISPENSARIES.-Assistant Surgeon, unmarried. Salary

B100 per annum, with board and apartments.MANCHESTER, ANCOATS HOSPITAL.-Resident House Physician. Salary

£80. with board, &c.METROPOLITAN EAR, NosE, AND THROAT HOSPITAL, Grafton-street,

Tottenham-court-road, W.-Assistant Surgeon, Anaesthetist, andClinical Assistants.

NOTTINGHAM GENERAL DISPENSARY.-Assistant Resident Surgeon, un-married. Salary £160 per annum, increasing, with apartments,attendance, light, and fuel.

ORKNEY, PARISH OF RousAY AND EGILSHAY.-Medical Officer. Salary251 per annum.

PRESTON, LANCASHIRE, COUNTY ASYLUM. Whittingham.-AssistantMedical Officer, unmarried. Salary £175, with apartments, board,washing, and attendance.

SHEFFIELD, CITY OF.-Medical Officer of Health. Salary E’700 perannum.

SHEFFIELD ROYAL INFIRMARY.-Honorary Surgeon.SOMERSET AND BATH ASYLUM, Cotford, Taunton.-Assistant Medical

Officer, unmarried. Salary £160 per annum, increasing to E200,with apartments, board, &c.

SOUTHAMPTON, ROYAL SOUTH HANTS AND SOUTHAMPTON HOSPITAL.-Junior House Surgeon. Salary .E60 per annum, with rooms, board,and washing.

STATE OF SARAwAK.-Medical Officer, unmarried. Salary$300 a

month and free quarters.STOCKPORT INFIRMARY.-Assistant House and Visiting Surgeon.

Salary £80 per annum, with board, washing, and residence. AlsoJunior Assistant House Surgeon for six months. Salary at rateof E40 per annum, with board, washing, and residence.

TOTTENHAM HOSPITAL, London, N.-Two Honorary Anaesthetists.VICTORIA HOSPITAL, Burnley.-Resident Medical Officer. Salary £90

per annum, with residence, board, and washing.VICTORIA HOSPITAL FOR CHILDREN, Tite-street, Chelsea, S.W.-House

Physician for six months. Honorarium of .E25, with board andlodging. Also Medical Radiographer. Honorarium of £31 10s. perannum.

WALLASEY DISPENSARY AND VICTORIA CENTRAL HOSPITAL, Liscard.-House Surgeon, unmarried. Salary £100, with apartments, board,and service.

WEST RIDING ASYLUM, Wadsley, near Sheffield.--Fifth AssistantMedical Officer. Salary .E140, rising to £160, with board, &c.

WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL.-Assist-ant House Surgeon for six months. Salary at rate of e75 perannum, with board, lodging, and washing.

THE Chief Inspector of Factories, Home Office, London, S.W., givesnotice of vacancies as Certifying Surgeon under the Factory andWorkshop Act, at Ruabon, in the county of Denbigh; at Belleek,in the county of Fermanagh; at Thame, in the county of Oxford ;and at Glasgow, in the county of Lanark.

Births, Marriages, and Deaths.BIRTHS.

COULTHARD.-On June 29th, at Bishop’s Close, Aspatria, Cumberland,the wife of W. J. C. Coulthard. M.B. Edin., of a son.

LEVICK.-On July 5th, at Havant, to Mr. and Mrs. Ashwin, a daughter.

MARRIAGES.COLEMAN-FRASER.-On June 30th, at the Church of the Holy Cross,

Dundrum, James Byrne Coleman, C.M.G., F.R.C.P.Irel., toMaude, youngest daughter of George Alexander Lovat Fraser.

PETTY-TROUP.-On July 2nd. at St. Andrew’s Church, StokeNewington, David Petty, M.B. Aberd., to Dora Lilian, youngestdaughter of Mr. Frederick William Troup.

DEATHS.COSENS.-On June 28th, at Brockenhurst, Charles Henry Cosens,

M.R.C.S., L.R.C.P. Lond., in his 45th year.RAY.-On July 4th. at Becoles, James Ray, M.R.C.S., formerly of

Lowestoft, aged 72 years. _____

N.B.-A fee oj 5s. ifg charged for the insertion of Notices of Births.Marriages, and Deathe.

Notes, Short Comments, and Answersto Correspondents.

" QUE DIABLE ALLAIT IL FAIRE DANS CETTE GALÈRE?"A CORRESPONDENT has sent us a copy of a paper entitled Health and

Strength. This magazine calls itself an illustrated monthly maga-zine devoted to subjects appertaining to health, strength, vitality,muscular development, food, clothing, and general care of the body,"and has been brought under our unfavourable attention on previousoccasions. The literary contents of the paper are of the sort

usually met with in cheap little papers professing to expound thetheories of physical culture to the public. There are some

obvious truths, some comical errors, some great nonsense, somesemi-nude photographs, and some letters from youths abouttheir body measurements and about the advantages of readingHealth and Strength and of attending certain " schools of

physical culture" which are advertised in the same issue. Theadvertisements are also of the usual kind. Among these the" Good Health Supply Department " publishes a letter to show thatevery young married couple ought to read certain books " and greatlyimprove the health status of any family," Messrs. A. M. Richardsonand Co. advertise a perfected electro-galvanic belt as making "theweak man become strong." The Magnetic Nerve InvigoratorCompany publish a puff of a thing which they call their " appareilmagnetique" as a cure for "dyspepsia, emissions, and loss of

memory." " Dr." T. R. Allinson, ex-L.R.C.P. Edin., who recentlyreceived such proper handling from the coroner of the KingstonDivision of Surrey, advertises " Medical Essays in five volumes," " ABook for Married Women," "Pamphlets to Young Men," and otherliterary gems. A Mr. Macdonald Smith, who " interviews byappointment only," advertises that " complete all-round health ofbody and mind is readily, easily, and thoroughly attained by mysystem." He has booked new pupils for a course of six lessonsin robust health at a sacrificial rate. Another advertisementrecommends the "Self and Sex Series" of pamphlets. Thereis an advertisement of a book called " Marriage Guide : theHome Cyclopaedia of Popular Medicine, Social and SexualScience." Another advertisement is of a book entitled, "Confi-dential Talks with Husband and Wife," among the contents ofwhich we notice such pleasant subjects as " The Relative Amorous-ness of Males and Females," "Children, Yes or No, If Not WhyNot?", and " Old Age and Sexuality." Another advertisement setsout the scope of

" The Red Hot Library." This is a complete set often books, the price of which is 14s. 6d., and the publishers are " TheHealth Culture Company," who give the same address as the

"Magnetic Nerve Invigorator Company," 22, Budge-row, Cannon-street, E.C. We give this address not so much as a gratuitousadvertisement of the companies as a reminder to our readersthat we have already had occasion to notice these people.(See THE LANCET, Nov. 8th, 1902, p. 1297, an article entitled " TheSexual Quack.") There are also advertisements of belts and sus-

pensory bandages for weak men and of free cures for rupture;there is an advertisement by the Natural Food Company, Limited,of a new drink invented by Mr. T. R. Allinson, and an offer on thepart of the manager at Volta House, Rooms 2 and 3, 22, Budge-row, to deal in " soiled outfits, belt and scrotal." Our readerswill allow that this is a fairly dirty assortment of material to beplaced before the public. But the most astonishing thing inthe whole magazine is a letter on page 216, for it actuallypurports to come from Dr. Alexander Haig, of 7, Brook-street,Grosvenor-square, W. The letter, which is signed A. Haig,"replies apparently to certain references that have been made inHealth and Strength to his well-known work on uric acid and con-tains these words : " I should be happy to do what I can from timeto time to answer questions." Dr. Haig is a Fellow of the RoyalCollege of Physicians of London and we presume that that corporationwill take note of his intention to associate himself with Health and

Strength. For our part we think that Dr. Haig owes to his pro-fessional colleagues an explanation of this letter, supposing him tohave written it. The writer appears to have seen the magazine, forhe alludes to something upon page 86 of the March issue. Can hebe Dr. Haig, and, if so, how did he come to find it possible to com-municate with such a paper ?

THE COÖPERATIVE HEALTH SANATORIA COMPANY,LIMITED.

A CORRESPONDENT has sent us tor comment a letter which has been

circulated, we suppose, among medical men, but which has not, sofar as we know, been given to. the public. The document contains

proposals for the formation of a limited liability company to carry onthe business of owners of sanatoriums. It is suggested that by anamalgamation of sanatoriums a far greater degree of efficiency in thetreatment of any particular disease would speedily be acquired,while provision could be made for chronic cases and by cooperationcheaper rates of payment could be accepted. In this way treatmentin sanatoriums could be brought within the reach of a less opulentclass of patients than those who now enjoy it. So far so good, butthe gentleman to whom applications for shares is to be made offers

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to make cooperative principles so far-reaching as to distribute amongthe patients " a certain percentage of the profits " and among medicalmen

" a certain proportion of the profits." The patient’s bonus is tovary with the time of his sojourn in the sanatorium and will amountto a bribe to remain ill. We doubt the wisdom of this idea and wehave no doubt whatever that it is wrong to offer to medical men a

pecuniary inducement to draft their patients to any particular sana-torium or group of sanatoriums. Therefore we do not advise any ofour readers whom the circular letter may have reached to join in theventure.

TREPHINING AMONG THE ANCIENT TARAHUMARES.

THE following passage is extracted from "Unknown Mexico: a Recordof Five Years’ Exploration among the Tribes of the Western SierraMadre, in the Tierra Caliente of Tepic and Ialisco, and among theTarascos of Michoacan," recently published by Messrs. Macmillanand Co. The author is Mr. Carl Lumholtz, Member of the Societie ofSciences of Norway, Associe Etranger de la Société de 1’Anthropo-logie de Paris, and author of other works of anthropological interest.

"One day the principal man of the locality, who had been veryfriendly to me, showed me a burial cave. I had persuaded himthat it was better for me to take away the bones contained in it inorder to keep them in a good house than to let them remain wherethey were ’ killing sheep and making people sick.’ ’ But why doyou want them ? ’ he asked. Having been satisfied on this pointhe one day led me to a wild, steep arroyo, pointed at its head, and,having thus indicated where the cave was, at once left me. I made

my way as best I could up the steep little gorges, accompaniedby one of my men. On arriving at the top I found the entrance tothe cave completely covered with stones plastered together withmud. A heap of stones was also piled outside against the wall.The cave I found very small and, contrary to the exaggerated

reports of the Indians, it contained only three skeletons. Accord-

ing to the custom prevailing throughout part of the countryof the Tarahumares these remains had not been buried. Theskeletons were simply lying on their backs from east to west asif looking toward the setting sun. A few crudely made clay vesselsof the ordinary Tarahumare type were found alongside them. On

gathering the three skulls I was at once struck by a circular holein the right parietal bone of one of them. As they undoubtedlybelonged to the Tarahumares the question at once occurred tome, Can it be possible that this barbaric tribe, not particularlyadvanced in the arts, was capable of trepanning ? The remotenessof the place entirely negatives the suggestion that a civilised

surgeon could have had anything to do with it.The skull, the lower jaw of which is missing, is that of a

Tarahumare woman over 50 years of age. The age of the specimen. itself is impossible to arrive at on account of the peculiar circum-

stances in which it was preserved. However, the cranial walls stillcontained some animal matter, were still somewhat fatty to thetouch, and retained some odour. A spindle provided with a whorlmade from a piece of pine-bark which was lying among the bonesin the cave indicates that the body of this female had not beenput there in recent times. This variety of whorl, so far as I canascertain, has not been observed among the Tarahumares of the

present day. It is, indeed, possible that the skeleton may be

pre-Columbian.The skull does not present any deformities or fractures and

the singular aperture is almost exactly round, measuring twocentimetres in diameter. A careful examination shows that thecut was made a long time-several years in fact-before death.The regularity of the hole indicates beyond doubt that it isartificial.Another skull, taken from a burial cave near Nararachic, is also

that of a female and the opening here, too, is in the parietal boneand in almost the same place as the opening in the first skulldescribed. In this second specimen the cavity is almost filled inwith new bone, and as in this instance the edges are very regularand uniform and distinctly beveled, they show that the operationwas performed by scraping. This cannot be said of the first

specimen found. The almost circular form of the opening and itsperpendicular walls prove conclusively that in this instance thesurgeon did not employ the simple method of scraping the bone.I have never found among the Tarahumares any implement withwhich such an operation could have been performed. Possibly itwas done with a kind of flint wimble with three teeth, muchlike the instrument used to-day in trepanning by the Berbers in1’Aures, who cure even headaches by this method. It is, of

course, impossible to say now whether the ancients performed theoperation simply to relieve the patient of bone splinters, pus,blood, &c., pressing on the brain, or whether it was done to let outan evil spirit. It is the first time that cases of trepanning havebeen found in Mexico."

The Tarahumares, it should be added, are a tribe inhabiting theSierra del Norte, a continuation of the Rocky Mountains stretchingthrough the greater part of Mexico into Central and South America.

TOTTENHAM’S HOSPITAL AND HOLLOWAY’S PILLS.PERHAPS our readers will hardly see the connexion at first sight betweenthe two portions of the above suggestive title. Evidently thoseresponsible for the issue of a cheap handbill advertising the TottenhamHospital Carnival to be held on July 16th think differently, for on oneside of the handbill the Tottenham Hospital appeals for donations to

make good a deficit of £2000 and on the other side appears an ad-vertisement of Holloway’s pills and ointment. Thus occurs the veryunusual and incongruous association appearing in the heading ofthis paragraph and the preposterous spectacle of an orthodox hospitaladvertising a heterodox preparation. Perhaps, however, this has beendone to show to what depths they have descended in the practice ofeconomy and to emphasise the dire straits of the hospital, but suchan undesirable confederacy and lack of discretion is hardly the bestway to enlist the sympathy and the support of long-sufferingmembers of the medical profession, because, as we recently read inour contemporary the Evening News, under the heading of NewProverbs " Quacks are stubborn things."

CHLORETONE IN SEASICKNESS.

To the Editors of THE LANCET.

SIRS,-A short time ago I read in THE LANCET some correspondencerelating to the usefulness of chloretone in seasickness. Personally I ama wretched sailor and as I was about to take a fortnight’s cruiseMessrs. Parke, Davis, and Co. supplied me with capsules containing fivegrains of the drug. It was not long after we had lost sight of land thatthe horrible feeling in the epigastrium began to make itself felt, so Ipromptly took ten grains of chloretone. In half an hour all nausea had

disappeared and I went below and had a good dinner. Before turningin for the night I took another capsule and after ’a good night’s resthad a splendid breakfast. After three days we had some rough seawhen it was almost impossible to stand on deck. I took five grains ofchloretone every two hours for six hours. I had not the slightestnausea; most of the passengers, stewards, and stewardesses were sickand I was one of the few who went down to dinner, which, I may say,we had to partake of under difficulties. There is no doubt that the drugdoes increase the appetite and I certainly found no bad effects from itsuse. Many times I have been in the North Sea, but never once beforewithout having several hours of severe sickness, and during the wholeof this last cruise, after taking chloretone, there was not the slightestsign of seasickness. I am, Sirs, yours faithfully,July 7th, 1903. M.R.C.S.

Impartial has omitted to supply us with his name and address anddoes not sufficiently describe the perambulator to make clear hisallusions.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (13th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’a (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic (4 P.M.),Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Royal Free (2 P.M.), Guy’s (1.30 P.M.).

TUESDAY (14th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s a(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throat(9.30 A.M.), Royal Ear (3 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.),Throat Golden-square (9.30 A.M.), Soho-square (2 P.M.).

WEDNESDAY (15th).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing Cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College e(2 P.M.), St. George’s (Ophthalmic, 1 P.M.), St. Mary’s (2 P.M.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.M.), Westminster (2 P.M.) Metropolitan (2.30 P.M.),London Throat (9.30 A.M.), Cancer (2 P.M.), Throat, Golden-square(9.30 A.M.), Guy’s (1.30 P.M).

THURSDAY (16th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M.), University College (2 P.M.), Charing Cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaecological, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat,(9.30 A.M.), St. Mark’s (2 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.),Throat, Golden-square (9.30 A.M.). Guy’s (1.30 P.M.).

FRIDAY (17th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s(2 P.M.), Ophthalmic (10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.), Soho-square(2 P.M.).

SATURDAY (18th).-Royal Free (9 A.M.), London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University College (9.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.